# DONALD R SIMMONS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811753395
- **Authorized official:** DR. DONALD RAE SIMMONS MD (SOLE MEMBER/PHYSICIAN)
- **Authorized official phone:** (940) 902-3411

## Contact information

- **Practice address:** 1244 WOODLAND LOOP, BARTLESVILLE, OK 74006-5224
- **Practice address phone:** (918) 335-3222
- **Mailing address:** 1175 S ASPEN AVE STE K, BROKEN ARROW, OK 74012-4800
- **Mailing address phone:** (833) 524-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 02/22/2024
